Effects of Incentive Spirometry on Respiratory Motion in Healthy Subjects Using Cine Breathing Magnetic Resonance Imaging

Kotani, Toshiaki; Akazawa, Tsutomu; Sakuma, Takashi; Nagaya, Shigeyuki; Sonoda, Masaru; Tanaka, Yuji; Katogi, Takehide; Nemoto, Tetsuharu; Minami, Shohei

doi:10.5535/arm.2015.39.3.360

Cited by 8 publications

(9 citation statements)

References 18 publications

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“…Because this study was performed on 20 healthy subjects (11 males and 9 females), aged 20 to 23 years old, the effects of SMI during SDBE/VIS on DLC in other age groups and diseases cannot be generalized to clinical populations. However, breathing exercise has been suggested in an 8-week pulmonary rehabilitation program, which possibly showed benefits of DLCO in patients with chronic obstructive pulmonary disease (COPD) [38] or recruited in 2 weeks of training at least [6,12]. From the immediate effect on DLCO in this study, it can be concluded that the SMI technique should be added during SDBE/VIS as previously addressed report [39].…”

Section: Limitations and Suggestionsmentioning

confidence: 54%

“…Nowadays, it is used widely in both acute and chronic care and comes in 2 forms: Flow-oriented incentive spirometry (FIS) and volume-oriented incentive spirometry (VIS), which are designed purportedly to address the respiratory muscles [10] and diaphragmatic function [11], respectively. The literature suggests that SDBE paired with a FIS along with the SMI technique could increase vital capacity (VC) [12]. While it appears that SDBE paired with a VIS (SDBE/VIS) has demonstrated significantly more effectiveness on lung volume, chest wall mobility [13], and diaphragm motion [12] than when SDBE is performed with a FIS.…”

Section: Introductionmentioning

confidence: 99%

“…The literature suggests that SDBE paired with a FIS along with the SMI technique could increase vital capacity (VC) [12]. While it appears that SDBE paired with a VIS (SDBE/VIS) has demonstrated significantly more effectiveness on lung volume, chest wall mobility [13], and diaphragm motion [12] than when SDBE is performed with a FIS. Moreover, the literature suggests that deep inspiratory breathing with a breath-hold or SMI is believed to allow more time for alveolar ventilation and oxygen uptake by the pulmonary circulation [14].…”

Section: Introductionmentioning

confidence: 99%

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Preliminary Study: Immediate Effect of the Slow Deep Breathing Exercise and Sustained Maximal Inspiration with Volume-Oriented Incentive Spirometry on the Diffusing Lung Capacity in Healthy Young Participants

et al. 2021

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Slow-deep breathing exercise (SDBE) while using a volume-oriented type of incentive spirometry (VIS) device (SDBE/VIS) is one of the techniques in chest physical therapy designed to improve lung volume and oxygenation. However, the immediate effect of SDBE/VIS paired with a sustained maximal inspiration (SMI) on diffusing lung capacity (DLC), has not been documented. This preliminary study aimed to evaluate the immediate effect of SDBE/VIS paired with the SMI technique on DLC in healthy participants. Twenty healthy sedentary adults (11 males and 9 females) aged 20 to 23 years were recruited into this cross-over study and randomly assigned to one of 2 ordered groups; SDBE/VIS paired with SMI followed by SDBE/VIS alone or SDBE/VIS alone followed by SDBE/VIS with SMI. During each of the 2-testing sessions, the participants performed 3 sets of 5 SDBE/VIS trials which were controlled by ensuring that each participant reached their maximal vital capacity; derived from their pulmonary function test. The DLC for carbon monoxide (DLCO), alveolar volume (VA), and total lung capacity (TLC) was assessed prior to (baseline) and after each of the 5 experimental trials. A 3-min rest period was given between each set of 5 trials and 1 week between testing sessions. The results demonstrated that SDBE/VIS paired with the SMI technique significantly increased both the DLCO (mL/min/mmHg and %) and VA (L and %) when compared to the baseline values. Whereas, SDBE/VIS without using the SMI technique did not alter the DLCO, VA or the DLCO/VA. However, both SDBE/VIS with and without the SMI technique showed a significant increase the TLC (L and %), with the TLC from SDBE/VIS paired with SMI was significantly higher than when the SDBE /VIS was performed without using the SMI technique. Thus, it appears that performing SDBE/VIS exercised paired with the SMI technique has a significant and positive effect on DLC.

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Section: Limitations and Suggestionsmentioning

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Preliminary Study: Immediate Effect of the Slow Deep Breathing Exercise and Sustained Maximal Inspiration with Volume-Oriented Incentive Spirometry on the Diffusing Lung Capacity in Healthy Young Participants

et al. 2021

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“…The incentive spirometer is easy to use and provides the patient with visual feedback on airflow and volume. Its use results in a prolonged phase of effective inspiration, more controlled flow, and greater enthusiasm to practice [ 12 ]. To prevent decompensation, individuals should practice routine pulmonary exercise training with the goal of achieving increased maximal inspiratory mouth pressure for sex, height, and weight, an increased lung volume expiration, and increased cough capacity.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Incentive Spirometer in Increasing Maximum Inspiratory Volume in an Out-Patient Setting

Toor¹,

Kashyap²,

Yau³

et al. 2021

Cureus

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BackgroundIncentive spirometry (IS) is the mainstay of care in postoperative patients that has been heavily studied in the inpatient setting. Studies have shown that the utilization of IS improves lung volumes and reduces the rate of pneumonia in post-surgical patients. However, the literature is ambiguous on its benefit as many studies also demonstrate no significant benefit, especially in comparison to early ambulation. Our study sought to determine whether a consistent IS regimen can improve lung function in an outpatient setting. MethodsThis prospective cohort study included patients in a physical medicine and rehabilitation clinic setting during the COVID pandemic. Patients with severe respiratory disease, baseline cough, those unable to perform deep breathing, fever greater than 100.4 F due to non-pulmonary on initial evaluation, or inability to fill out the forms and complete the study were excluded. Each participant was given the IS along with hands-on instruction on how to use the device and accurately record measurements. Patients were asked to lie down and inhale and exhale through the tube ten times. They were asked to mark the highest volume during their 10 breaths. Patients were instructed to complete this exercise three times a day for 30 days. Patients were also asked to perform light exercises or walking for 20 minutes per day three times a week and postural drainage. Patients were instructed to call their primary care physician if a 20% or more decrease from their baseline was noted or if they experienced any new coughs, fever, or shortness of breath during the 30 days of exercise. ResultsA total of 48 patients enrolled in the study with a (median) age of 58.0 years (SD 10.2 years), 21 females and 27 males. Baseline maximal inspiration for study participants was 1885.4 mL prior to exercise, with a subsequent increase in lung capacity observed for all participants enrolled in the study. At the end of the study period, week four, the average maximal inspiratory volume was 2235.4 mL. Paired t-test showed a significant difference between baseline (1885.4) and maximum (2235.4) volumes (t=-4.59, p<0.0001). Analysis of variance (ANOVA) showed no significant difference among Week 1-4 averages (F=1.08, p=0.36). None of the participants reported any symptoms (fever, coughing, shortness of breath) or COVID-19 infection during the 30-days period. None of the participants reported contacting primary care physicians. ConclusionWhen prescribed daily breathing exercises with an incentive spirometer, study participants experienced a 16% increase in maximal inspiratory volume over a span of 30 days and did not need to contact their primary care physician during the study period.

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“…However, the efficacy of incen-tive spirometry remains controversial [13,15]. Kotani et al indicated that using incentive spirometer for two weeks improved respiratory motion and lung function in healthy individuals, and they suggested that incentive spirometer may be an effective preoperative medical device for modifying pulmonary function during the perioperative period [20].…”

Section: Discussionmentioning

confidence: 99%

Effect of Incentive Spirometry on Pulmonary Function Tests in Patients Undergoing Hemodialysis: A Randomized Clinical Trials

et al. 2018

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This study was aimed to determine the Effect effect of incentive spirometry on pulmonary function tests in patients undergoing hemodialysis. Methods: This study was a randomized clinical trial conducted in on hemodialysis patients. The obtained Data were collected from 26 patients in the experimental and 26 patients in the control group. In The the control group, patients received their routine care and the experimental group intervention for the experimental group was demonstrate the incentive spirometry program. The patients were encouraged to use the device for 5-10 breaths per session, every hour while awake for two months. The Pulmonary pulmonary function tests including FVC, FEV 1 , FEV 1 /FVC evaluated was indicatedwere taken at the beginning, and then 2 months after the starting onset of the study in two both groups. Results: The findings showed no significant differences between the two groups in terms of demographic characteristics and FVC, FEV 1 , FEV 1 /FVC before the intervention. The FVC, FEV 1 increased significantly in the intervention group compared to the control group (P<0.05) after two months, while no significant improvement was observed in the FEV 1 /FVC ratio. Discussion: This study showed significant differences in pulmonary function (FVC, FEV 1) in the two groups. Therefore, incentive spirometry seems to be an effective choice for improvements in pulmonary function test in hemodialysis patients. But considering the limited studies available, further research is required in this area.

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Effects of Incentive Spirometry on Respiratory Motion in Healthy Subjects Using Cine Breathing Magnetic Resonance Imaging

Cited by 8 publications

References 18 publications

Preliminary Study: Immediate Effect of the Slow Deep Breathing Exercise and Sustained Maximal Inspiration with Volume-Oriented Incentive Spirometry on the Diffusing Lung Capacity in Healthy Young Participants

Preliminary Study: Immediate Effect of the Slow Deep Breathing Exercise and Sustained Maximal Inspiration with Volume-Oriented Incentive Spirometry on the Diffusing Lung Capacity in Healthy Young Participants

Efficacy of Incentive Spirometer in Increasing Maximum Inspiratory Volume in an Out-Patient Setting

Effect of Incentive Spirometry on Pulmonary Function Tests in Patients Undergoing Hemodialysis: A Randomized Clinical Trials

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